California Licensed Utilization LVN
A company is looking for a Utilization Management LVN. Key Responsibilities Conduct chart audits to evaluate follow-up service requests Manage departmental clinical and authorization request communications Review prior authorization requests for medical necessity and care plan alignment Required Qualifications Minimum of one (1) year of chart auditing or UM review experience Knowledgeable in Medicare and Medicaid UM regulations Unencumbered LVN licensure
A company is looking for a Utilization Management LVN.
Key Responsibilities
Conduct chart audits to evaluate follow-up service requests
Manage departmental clinical and authorization request communications
Review prior authorization requests for medical necessity and care plan alignment
Required Qualifications
Minimum of one (1) year of chart auditing or UM review experience
Knowledgeable in Medicare and Medicaid UM regulations
Unencumbered LVN licensure
